Organization Active NPI

Majestic Pharmacy Inc

  • Long Term Care Pharmacy
  • San Diego, CA
National Provider Identifier
1154835973
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MAJESTIC PHARMACY INC
Practice address
7283 Engineer Rd Ste D
San Diego, CA 92111-1414
Phone
(619) 280-1254
Fax
(619) 280-1255
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marian Miranda
Title
Ceo/Cfo/Sec./Dir.
Phone
(310) 462-5025

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 55859 CA
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

7283 Engineer Rd Ste D
San Diego, CA 92111-1414

Mailing address

7283 Engineer Rd Ste D
San Diego, CA 92111-1414
Phone (858) 598-5600

Other identifiers 2

IdentifierTypeStateIssuer
57982OtherCASTATE BOARD OF PHARMACY PERMIT
55859OtherCASTATE BOARD OF PHARMACY PERMIT

Other names 1

  • Rosemont Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

7283 Engineer Rd
San Diego, CA 92111
Phone (619) 280-1254

7283 Engineer Rd
Ste D
San Diego, CA 92111
Phone (858) 598-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1154835973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7283 ENGINEER RD STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111414",
            "telephone_number": "858-598-5600",
            "fax_number": "858-598-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7283 ENGINEER RD STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111414",
            "telephone_number": "619-280-1254",
            "fax_number": "619-280-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "CEO/CFO/SEC./DIR.",
        "authorized_official_telephone_number": "310-462-5025",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55859",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY PERMIT",
            "identifier": "57982",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY PERMIT",
            "identifier": "55859",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosemont Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.